| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $588.84 | $5,623.41 | $12,022.64 | |
Medica
| Professional | $724.44 | $977.24 | $4,677.35 | |
United
| Facility | $199.53 | $4,786.30 | $6,025.60 | |
United
| Professional | $724.44 | $933.25 | $1,230.27 |